Hepatitis B Vaccination Coverage Among Health-Care Personnel in the United States
Hepatitis B Vaccination Coverage Among Health-Care Personnel in the United States
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DOI：
10.1177/003335491312800609
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发表时间：
2013-11-01
影响因子：
3.3
通讯作者：
Murphy, Trudy V.
中科院分区：
文献类型：
--
作者：
Byrd, Kathy K.;Lu, Peng-Jun;Murphy, Trudy V.
目标。我们比较了卫生保健人员（HCP）自我报告的乙型肝炎（HepB）疫苗覆盖率与一般人群的HepB疫苗覆盖率，并确定了HCP中疫苗接种覆盖率的趋势。我们使用2010年全国健康访谈调查（NHIS）来确定>= 18岁HCP人群中自报>= 1和>= 3剂量HepB疫苗覆盖率的加权比例。我们使用逻辑回归来确定疫苗接种的独立预测因子，并使用2004-2010年nhs的数据进行趋势分析，以确定2004年至2010年覆盖率的变化。总体而言，69.5%（95%可信区间[Cl] 67.2, 71.8）和63.4% （95% Cl 60.8, 65.9）的HCP患者分别报告接受了>= 1和>= 3剂量的HepB疫苗，而非HCP患者分别为27.1% （95% Cl 26.1, 28.1%）和23.0% （95% Cl 22.1, 24.0）。在与患者直接接触的HCP人群中，80.7% （95% Cl 78.2、83.1）和74.0% （95% Cl 71.2、76.8）分别接种了>= 1剂和>= 3剂HepB疫苗。疫苗接种的独立预测因素包括与患者有直接接触，受过高中以上教育，过去一年接种过流感疫苗，以及曾经接受过艾滋病毒检测。从2004年到2010年，报告的覆盖率没有显著变化。2010年乙肝疫苗在HCP中的覆盖率估计仍远低于健康人2010年90%的目标。应鼓励针对未接种HCP疫苗的人乙肝暴露前保护。
Objectives. We compared self-reported hepatitis B (HepB) vaccine coverage among health-care personnel (HCP) with HepB vaccine coverage among the general-population-and determined trends in vaccination coverage among HCP.Methods. We used the 2010 National Health Interview Survey (NHIS) to determine the weighted proportion of self-reported >= 1 and >= 3-dose HepB vaccine coverage among HCP aged >= 18 years. We used logistic regression to determine independent predictors of vaccination and performed a trend analysis to determine changes in coverage from 2004 to 2010 using data from the 2004-2010 NHIS.Results. Overall, 69.5% (95% confidence interval [Cl] 67.2, 71.8) and 63.4% (95% Cl 60.8, 65.9) of HCP reported receiving >= 1 and >= 3 doses of HepB vaccine, respectively, compared with 27.1% (95% Cl 26.1, 28.1%) and 23.0% (95% Cl 22.1, 24.0) among non-HCP. Among HCP with direct patient contact, 80.7% (95% Cl 78.2, 83.1) and 74.0% (95% Cl 71.2, 76.8) received >= 1 and >= 3 HepB vaccine doses, respectively. Independent predictors of vaccination included direct patient contact, having more than a high school education, influenza vaccination in the past year, and ever having been tested for HIV There was no significant change in reported coverage from 2004 through 2010.Conclusion. The 2010 HepB vaccine coverage estimate among HCP remained well below the Healthy People 2010 goal of 90%. Efforts to target unvaccinated HCP for preexposure HepB protection should be encouraged.